{"title":"眼肌外膜炎：沙特阿拉伯利雅得一家三级医疗中心的病例报告。","authors":"Yasser Ibrahim Althnayan, Omar Saad Alhadlaq","doi":"10.1159/000541762","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Ophthalmomyiasis externa, which is caused by <i>Oestrus ovis</i> larvae, is a parasitic eye infestation that is prevalent in tropical and subtropical regions. It occurs in rural settings and is associated with risk factors, such as poor sanitation and underlying health conditions. Reports on this disease in Saudi Arabia are rare.</p><p><strong>Case presentation: </strong>A 30-year-old man from a rural area in Riyadh presented with severe left eye irritation and redness after being hit by an insect. Examination revealed seven motile larvae, which were identified as <i>O</i>. <i>ovis</i>, on the conjunctiva. The larvae were mechanically removed, and the patient was treated with topical antibiotics. On follow-up, four additional larvae were found and removed. Symptoms resolved completely, with no further larvae detected on subsequent follow-up.</p><p><strong>Conclusion: </strong>Thorough history and examination are essential for the diagnosis of ophthalmomyiasis, especially in rural areas. Early detection and intervention are vital to prevent serious complications. This case highlighted the importance of awareness among healthcare providers.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11509492/pdf/","citationCount":"0","resultStr":"{\"title\":\"Ophthalmomyiasis Externa: A Case Report in a Tertiary Care Center in Riyadh, Saudi Arabia.\",\"authors\":\"Yasser Ibrahim Althnayan, Omar Saad Alhadlaq\",\"doi\":\"10.1159/000541762\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Ophthalmomyiasis externa, which is caused by <i>Oestrus ovis</i> larvae, is a parasitic eye infestation that is prevalent in tropical and subtropical regions. It occurs in rural settings and is associated with risk factors, such as poor sanitation and underlying health conditions. Reports on this disease in Saudi Arabia are rare.</p><p><strong>Case presentation: </strong>A 30-year-old man from a rural area in Riyadh presented with severe left eye irritation and redness after being hit by an insect. Examination revealed seven motile larvae, which were identified as <i>O</i>. <i>ovis</i>, on the conjunctiva. The larvae were mechanically removed, and the patient was treated with topical antibiotics. On follow-up, four additional larvae were found and removed. Symptoms resolved completely, with no further larvae detected on subsequent follow-up.</p><p><strong>Conclusion: </strong>Thorough history and examination are essential for the diagnosis of ophthalmomyiasis, especially in rural areas. Early detection and intervention are vital to prevent serious complications. This case highlighted the importance of awareness among healthcare providers.</p>\",\"PeriodicalId\":9635,\"journal\":{\"name\":\"Case Reports in Ophthalmology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-10-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11509492/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Case Reports in Ophthalmology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1159/000541762\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000541762","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
导言：眼肌外膜炎是由鸦胆子幼虫引起的眼部寄生虫病，流行于热带和亚热带地区。这种疾病多发于农村地区，与卫生条件差和潜在的健康状况等风险因素有关。沙特阿拉伯有关这种疾病的报道很少：一名来自利雅得农村地区的 30 岁男子在被昆虫叮咬后出现严重的左眼红肿。检查发现，结膜上有七条蠕动的幼虫，经鉴定为 O. ovis。对幼虫进行了机械清除，并对患者进行了局部抗生素治疗。随访时，又发现并清除了四条幼虫。症状完全缓解，随后的随访中没有再发现幼虫：结论：详尽的病史和检查对眼肌症的诊断至关重要，尤其是在农村地区。早期发现和干预对预防严重并发症至关重要。本病例强调了医疗服务提供者提高认识的重要性。
Ophthalmomyiasis Externa: A Case Report in a Tertiary Care Center in Riyadh, Saudi Arabia.
Introduction: Ophthalmomyiasis externa, which is caused by Oestrus ovis larvae, is a parasitic eye infestation that is prevalent in tropical and subtropical regions. It occurs in rural settings and is associated with risk factors, such as poor sanitation and underlying health conditions. Reports on this disease in Saudi Arabia are rare.
Case presentation: A 30-year-old man from a rural area in Riyadh presented with severe left eye irritation and redness after being hit by an insect. Examination revealed seven motile larvae, which were identified as O. ovis, on the conjunctiva. The larvae were mechanically removed, and the patient was treated with topical antibiotics. On follow-up, four additional larvae were found and removed. Symptoms resolved completely, with no further larvae detected on subsequent follow-up.
Conclusion: Thorough history and examination are essential for the diagnosis of ophthalmomyiasis, especially in rural areas. Early detection and intervention are vital to prevent serious complications. This case highlighted the importance of awareness among healthcare providers.
期刊介绍：
This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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